| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $251.19 | $2,290.87 | $7,762.47 | |
BCBS
| Facility | $562.34 | $1,513.56 | $2,884.03 | |
Hally Health
| Professional | $165.96 | $295.12 | $1,230.27 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $151.36 | $851.14 | $2,630.27 |